Blue Choice Healthy Connections Medicaid

Date:

A Medicaid And Healthy Michigan Planmanaged Care Health Plan

How to Apply for Medicaid in South Carolina

Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. We help Medicaid members get the health care they need in 32 Michigan counties across the state.

We provide members with the care they need, when they need it. This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. We also offer pharmacy, maternity care and integrated care management benefits.

The Healthy Michigan Plan is a health care program from the Michigan Department of Health and Human Services. Blue Cross Complete administers Healthy Michigan Plan benefits to eligible beneficiaries.

Commercial Health Exchange And Marketplace Plans For Musc Health

  • Aetna
  • Ambetter from Absolute Total Care
  • BCBS Blue Essentials
  • Blue Choice Blue Option
  • Blue Cross Blue Shield Plans including:
  • Preferred Blue
  • Blue Choice HealthCare
  • Federal
  • State Health Plan for South Carolina
  • Cigna
  • Employers Health Network/SC Business Coalition on Health
  • First Health
  • Great West Healthcare
  • Humana ChoiceCare PPO
  • Medcost
  • United HealthCare*
  • Veterans’ Affairs Community Care Network
  • *Physicians in MUSC Health practices associated with MUSC Health Columbia Downtown, MUSC Health Columbia Northeast, or MUSC Health Kershaw are out of network for all United Healthcare products. MUSC Health’s current contract with United Healthcare will end on September 14, 2022. This contract does not include Medigap or supplement plans.

    What Does Sc Medicaid Cover

    There are five South Carolina Medicaid plans, all of which are very similar. Plans are Absolute Total Care, Healthy Blue by BlueChoice of SC, First Choice by Select Health of South Carolina, WellCare, and Molina Healthcare of SC.

    Most SC Medicaid services are free or have a very low copayment . The South Carolina Medicaid program is quite comprehensive. In general, SC Medicaid covers:

    • Doctor Visits
  • Physical
  • Speech-Language
  • Adults can receive a wellness visit every two years, and kids under the age of 21 can receive one every year .

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    Available Beginning July 1 2019

    • Assertive Community Treatment – A comprehensive and integrated set of psychiatric, psychosocial rehabilitation, case management, and support services for individuals 18 and older. Services are provided by a mobile multi-disciplinary mental health treatment program mainly in the clients residence or other community locations.
    • Personalized Recovery Oriented Services – A comprehensive recovery program for individuals 18 and older with severe mental illness. The goal of the program is to integrate treatment, support, and rehabilitation in a manner that facilitates the individuals recovery.
    • Continuing Day Treatment – A program that provides individuals 18 and older with mental illness the skills and supports necessary to remain in the community and/or work toward a more independent level of functioning. Participants often attend several days per week with visits lasting more than an hour.
    • Partial Hospitalization – A program that provides active treatment designed to stabilize or reduce acute symptoms in a person who would otherwise need hospitalization.
    • Comprehensive Psychiatric Emergency Program – A hospital-based emergency program that offers/provides access to crisis outreach, intervention, and residential services and/or provides beds for the extended observation to adults who need emergency mental health services.

    First Episode Psychosis Resources

    RISE Center for Autism: RISE Handbook

    OnTrackNY is an innovative treatment program for adolescents and young adults who have had unusual thoughts and behaviors, or who have started hearing or seeing things that others dont. OnTrackNY helps people achieve their goals for school, work, and relationships. Programs are located throughout New York State.

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    Using The Sc Medicaid Portal

    While all options are viable, applying online certainly has unique perks. By using the SC Medicaid Portal, youll be able to see all of your free and affordable health coverage options, plus you can save your work and return to it later. This is important because the application requires a lot of paperwork and documentation that you may not have in front of you all at once. Plus, it takes a while to complete the application properly. It may be easier for you to spend a few minutes at a time working on it.

    South Carolina Medicaid And Medicare Assistance

    If you qualify for both Medicaid and Medicare, you can also qualify for a Medicare Advantage dual-special needs plan. These plans can save you money and provide additional coverage. To find out more about dual-special needs plans in your area, or to speak with a licensed agent in North Carolina, fill out this form or call us at 833-438-3676.

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    Services Managed By Nia Magellan Healthcare Inc

    NIA Magellan is an independent company that provides utilization management services on behalf of BlueChoice HealthPlan. Magellan manages precertification for advanced radiology, musculoskeletal care, radiation oncology and nuclear cardiology.

  • Radiology Services
  • Radiation Oncology Program

    Beginning January 1, 2015, some groups will require National Imaging Associates precertification for radiation oncology services when performed and billed in an outpatient or office location. NIA is an independent company that provides precertification services for certain imaging services on behalf of BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan.

    Here are National Imaging Associates’ reference materials about this radiation oncology program:

    Nuclear Cardiology

    Effective Nov. 1, 2016, BlueCross BlueShield of South Carolina and BlueChoice® HealthPlan require precertification for nuclear cardiology services through National Imaging Associates . NIA is an independent company that handles precertification for certain nuclear cardiology services on behalf of BlueCross and BlueChoice. This precertification requirement is only applicable to BlueCross and BlueChoice Exchange members receiving nuclear cardiology services. Review the specific procedures in the utilization matrix.

    Every Step Of The Way 2019/2020 Report To The Community

    Dignity Health and Anthem Blue Cross terminate California contract, local patients raise concerns

    Our whole-person approach is serving members throughout the state by providing access to far more than clinical care. Through partnerships with community organizations, local businesses, state government, and many caring individuals, we are addressing the various social issues that affect a persons health, including healthy lifestyles, support networks, education, and technology supports.

    Also Check: New Mexico Medicaid Provider Portal

    Sc Healthy Connections Dental Program & Vision Coverage

    Adults in the SC Healthy Connections Dental Program can receive preventative services of up to $750 in value per year. This includes annual cleanings and exams, x-rays, extractions, and fillings. Most people will pay a $3.40 copayment. Kids also get six-month fluoride treatments, one sealant every three years, and one space maintainer. These services are provided through Dentaquest, so you can find a provider at the SC Dentaquest website.

    Vision coverage is also much more comprehensive for kids than it is for adults. While kids can get coverage for both exams and glasses, adults can only receive medically necessary exams, like for those pertaining to eye diseases like glaucoma.

    South Carolina Medicaid Eligibility Requirements

    Medicaid eligibility is not always black and white. The Healthy Connections program includes several categories of eligibility: Aged and blind or disabled, breast and cervical cancer, disabled children, family planning, former foster care, nursing home residents, medically needy, parents and caretaker relatives, partners for healthy children, pregnant women and infants, qualifying Medicare beneficiaries, and working disabled people. The chart below can help you determine whether or not you qualify:

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    Available Beginning January 1 2020

    • Youth Peer Support and Training – These services provide the training and support necessary to ensure engagement and active participation of youth in the treatment planning process and with the ongoing implementation and reinforcement of skills learned throughout the treatment processes.
    • Crisis Intervention – These services provide children/youth who are identified as experiencing a seriously acute psychological/emotional change which results in a marked increase in personal distress and which exceeds the abilities and the resources of those involved to effectively resolve it are eligible for Crisis Intervention.

    Advocacy Organizations/volunteer Opportunities/support Services/community Forums:

    LISA MUCKER, LCSW, LLC

    There are many opportunities available for members and their families to get involved in volunteer activities, committees, work groups, community forums and connect with advocacy services. Listed are some of the community organizations that are available to our members and their families for support, guidance and advocacy.

    We also offer Behavioral Health Case Management services to our members and their families. Our Behavioral Health Case Managers can assist you with understanding your insurance benefits, understanding your treatment options, locating and connecting with area treatment providers for mental health and substance use treatment and much more. If you or a loved one have questions or need assistance please reach out to one of our Behavioral Health Case Managers who can be reached at . A Behavioral Health Case Manager will be able to assist you during our normal business hours. If calling after hours you will be connected with a live nurse through Fonemed.

    We also offer Behavioral Health Advocacy services to our members and providers when a request for treatment has been denied. Our Behavioral Health Advocate is available to assist you and your provider in understanding the denial decision as well as with the process for pursuing appeals, and in identifying participating providers. Our Behavioral Health Advocate can be reached at .

    Mental Health Association offers listings of services and support groups for Monroe, Livingston and Wyoming Counties.

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    Expanded Telehealth Options Covid

    As we continue to monitor the spread of COVID-19, we want to make you aware of expanded telehealth options available to our members. With telehealth, you can consult with a health care provider without leaving your home. This can help minimize the spread of illness.

    Telehealth lets you consult with a health care provider by phone or through video chats on your computer, smartphone or other device. The doctor will advise if you should seek in-person medical help or if you can treat your symptoms at home. Doctors can even prescribe medicine through telehealth, if needed.

    South Carolina Department of Health and Environmental Control

    What is it?

    • Video or telephone visits with licensed providers in the state where you access services
    • Available nationally, 24 hours a day, 7 days a week

    Who should use it?

    • Any member, including those outside of South Carolina
    • Members who are NOT showing symptoms of COVID-19
    • If you do have COVID-19 symptoms, Blue CareOnDemand can refer you to a nearby testing facility, if appropriate
    • The service covers urgent care, behavioral health and lactation consulting
    • Video visits with Doctors Care providers
    • Virtual triage for COVID-19 testing
    • Available to members in South Carolina, available from 8 a.m. to 10 p.m. EST, 7 days a week

    Who should use it?

    • Virtual triage for COVID-19 testing
    • Available to members in South Carolina, during certain hours

    Who should use it?

    South Carolina Medicaid Doctors

    To find a doctor or other provider near you who accepts your SC Medicaid plan, use the SC Choices provider search tool. Enter your city, county, and zip code, the plan you have or would like to enroll in, and the type of doctor you are looking for. You can also type in a specific doctors name to see if they accept your plan. We would recommend calling ahead and making sure that the doctor you want to schedule an appointment with will accept your plan.

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    Blue Cross Complete Mobile App

    Access your account anytime, anywhere. The Blue Cross Complete mobile app keeps you up-to-date on your health care information. You can update your member information. You can also find doctors and hospitals. And, you can see a list of your current medications. To download our app, click on the links below or search for “BCCMI” in the App Store® and Google Play.

    Access your data on other mobile apps

    Before agreeing to share your health data with a third party health or fitness app, youll be directed to sign in and authenticate the third party app using your Blue Cross Complete online account. If you dont already have an online account, youll be prompted to register before this process can proceed.

    Once you review the Third Party Data Privacy Information , youll be directed back to the third party app approval process. There you may approve or cancel third party app selection. If, at any time, youd like to revoke consent to providing your health data to a third party app, you may do so from within your online account.

    Dentist In Greenville Sc That Accept Medicaid

    Blue Care Network’s Healthy Blue Living Customers Incorporate Workplace Wellness

    Results 1 30 of 893 893 listings of Dentists in Greenville on YP.com. Find reviews, directions & phone numbers for the best dentists that take medicaid in

    Results 1 30 of 891 891 listings of Dentists in Greenville on YP.com. Find reviews, directions & phone numbers for the best dentist that accept medicaid in

    Results 1 25 of 493 Directory of Greenville Dentists in SC yellow pages. Find Dentists We accept most insurance including Medicaid & State Health. Call now!

    New Horizon Family Dental Care accepts Medicaid and private insurance. Sliding Private Insurance, VA or Medicaid Card. Location: Greenville, SC 29605

    Medicaid Providers. Greenville County, SC. 2011-2012 School Year. Dentists. Disclaimers Call the Provider first to see if they are accepting new patients.

    6134 Whitehorse Rd, Greenville. In the Walmart Medicaid / SC Healthy Connections. General We accept Master Card, Visa, Discover, & American Express

    Kool Smiles General Dentistry For Kids & Parents in Greenville, SC. We accept most types of insurance, including Medicaid, state health insurance plans

    Medicaid Dentists in South Carolina . Sort by: Price

    Find great ‘Dentists General Dentistry’ in Greenville, SC using AOL Local Yellow Pages. If you can’t find the right ‘Dentists General Dentistry’ in Greenville, don’t

    Incoming search terms:

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    Need Help Understanding Health Insurance

    In fact, more than half of American consumers have whats called low health literacy. We want to fix that.

    Were working to create a Health Insurance 101 virtual classroom where everyone can:

    • See how health insurance works, step-by-step
    • Find the right place to go when they need medical care
    • Get tips for managing health care costs
    • Find definitions for health insurance words in easy-to-follow pictures

    Childrens Family Treatment And Support Services:

    These new services offer opportunities for children to better meet their behavioral health needs at earlier stages in life to prevent the start or progression of behavioral health conditions. All Children and Family Treatment and Support Services can be delivered in the community where the child/youth lives, attends school, and/or engages in services. These services are available to all Medicaid eligible children under the age of 21 who meet medical necessity criteria.

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    Childrens Home And Community Based Services :

    Some benefits listed below require providers to authorize services. For more information, please call or for TTY/TDD services call .Childrens HCBS benefits are designed to offer support and services to children in non-institutionalized settings that enable them to remain at home and in the community. These services are intended to assist children in being successful at home, in school and other environments to help maintain them in their community and avoid higher levels of care .Medicaid Managed Care children must be under 21 years old and determined eligible to receive HCBS services through clinical evaluation and documentation of need in a personalized plan of care

    Important Announcements And Events

    LISA MUCKER, LCSW, LLC

    Get your no-cost flu shot

    The flu shot is the number one way to protect against the flu. That’s why it’s important to get vaccinated every year.

    Visit the dentist regularly

    Regular dental visits are good for your overall health. Taking action now will help you avoid issues in the future. Visit the Dental Benefits page to learn more about your dental benefits.

    Health Risk Assessment

    Healthy Michigan Plan members: be sure to complete your health risk assessment with your doctor. Visit our Healthy Michigan Plan page to learn more.

    Member handbook

    Find important health plan information in the Member Handbook . View recent Updates to the Member Handbook and COVID Benefits and the Notice of Privacy Practices and Member Rights and Responsibilities .

    Pharmacy

    Blue Cross Complete is here to help you at the pharmacy. To view your benefits, visit the Pharmacy Benefits page.

    Fraud, waste and abuse

    Have you seen examples of fraud, waste or abuse? Learn how to report them on the Fraud, Waste and Abuse page.

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    A Joint Statement On The Spread Of Covid

    Every day we see reports of COVID-19s impact on the people of South Carolina. We have watched these numbers closely, and we are concerned about the health and safety of our citizens. All of us can help.

    Wearing a face mask in public is one way to help slow the spread of this disease. This is a new disease, but there is growing medical evidence that wearing face masks along with handwashing, social distancing, testing and isolation can successfully limit the spread of the virus. What do we know?

    • COVID-19 primarily spreads from person to person through respiratory droplets from infected persons when they cough, sneeze or even speak.
    • Respiratory droplets can travel as many as 6 feet or more depending on air currents.
    • Many people may get the virus but not have any symptoms. Even when symptoms do occur, it can take up to 14 days for them to appear.

    This means that anyone can spread the virus without knowing it, which is unsafe, particularly for older adults and people with other health issues. Wearing a face mask in public helps protect the health of your community including the health of your own family members and friends as it may keep you from unknowingly and unintentionally spreading the virus to others.

    We pledge to do our part, too. In the coming weeks, youll hear and see more from us as we work together to call attention to the role we all can play in slowing the spread of COVID-19 in South Carolina.

    Stay well.

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